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Georgia rates for HCPCS G0404

Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.89 / $9.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $10.86 / $17.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $6.17 / $64.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $9.15 / $13.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.86 / $20.35